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In many other high-income countries, the trend is similar, with a general decline since the late 80s or early 90s

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Years later, I found her membership card for a smoking-cessation group she had joined, whose oath read: Because I believe tobacco is detrimental to my health, and illness due to smoking would both jeopardize the security of those I love and hinder further service to my community, I hereby choose to cease smoking from this day forward. She signed this pledge on February 25, 1983, but not until the late 1990s, in her early fifties, did she manage to quit smoking for good, closing a fraught thirty-year chapter of her life